Anne Marie Wells, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5593 Issued in FL

Practice address

2740 Oak Ridge CT Ste 304
Fort Myers, FL 33901-9371

Phone

(239) 368-3708

Fax

(239) 368-3708

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1740376227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 OAK RIDGE CT STE 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019371",
            "telephone_number": "239-368-3708",
            "fax_number": "239-368-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 OAK RIDGE CT STE 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019371",
            "telephone_number": "239-368-3708",
            "fax_number": "239-368-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5593",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5593",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54174",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Welch, PHARM.D.
• Samuel L Weldon, DO
• Mark Welliver, LMHC
• Wellness and Care Inc
• Wellness by Physicians, Inc.
• Jaden Wells
• Wellspring Counseling and Wellness LLC
• Melinda Welsh, ARNP
• Scott Thomas Welsh, MSCCC-SLP
• Lori Welton, LMHC

• Clinical Neuropsychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.